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Pepperdine | School of Public Policy

Emergency Info: Campus Access Permitted – Update #16 Updated at Dec. 12, 7:21 p.m.

Student Internship Completion and Self-Evaluation Form

Each student is required to complete a minimum of 240-hours with the approved organization. Hours can be divided between two organizations with prior approval. Upon completion of an approved policy internship, the student must complete the Student Internship Completion and Self-Evaluation Form* within two weeks of completing the internship.

*Note: This form requests detailed information on the duties of the position and recommendations for future interns as well as reflections on the lessons learned during the student's internship experience. The first portion of the form, "Internship Experience Responses," will be open and available for future students' internship references. The remaining fields under "Personal Reflections" will be kept confidential and will be reviewed only by the administration and the student's faculty advisor.

This form cannot be saved before final submission and must be completed in one sitting. Tip: Write responses into a Word document or Google Document then copy and paste them into the form below. 

Student's Information
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International Student?:
Organization's Information
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Organization Industry:















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Internship Location:*
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Was the internship paid?:*
Dates of Internship:*
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Supervisor Mailing Address:*



(Use 00000 if not applicable)

The following section will be made available to School of Public Policy students when searching the internship database. Please be thoughtful and frank. The information you share will not be revealed to your employer, nor will it be published for public access but only be made available within the School of Public Policy.

Internship Experience Responses






The final three responses will be held confidential and will be utilized by student services personnel and faculty advisors for the evaluation and completion of each internship. Please be honest and accurate as possible.

Personal Reflections